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Tip of the Week– Gastritis and Peptic Ulcer Disease Review
Gastritis is not a single disease, but several different conditions that all have inflammation of the stomach lining. Gastritis can be caused by drinking too much alcohol, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen, or infection with bacteria such as Helicobacter pylori (H. pylori). Sometimes gastritis develops after major surgery, traumatic injury, burns, or severe infections. Certain diseases, such as pernicious anemia, autoimmune disorders, and chronic bile reflux, can cause gastritis as well.
The most common symptoms are abdominal upset or pain. Other symptoms are belching, abdominal bloating, nausea, and vomiting or a feeling of fullness or of burning in the upper abdomen. Blood or “coffee grounds” emesis or black, tarry stools may be a sign of bleeding in the stomach, which may indicate a serious problem requiring immediate medical attention.
Gastritis is diagnosed through one or more medical tests:
- Upper gastrointestinal endoscopy. this procedure looks at the stomach lining, checking for inflammation and may remove a tiny sample of tissue for tests.
- Blood test. Check red blood cell count to see whether the patient has anemia, caused by chronic blood loss from a bleeding ulcer.
- Stool test. This test checks for the presence of blood in the patient’s stool, a sign of GI bleeding. Stool test may also be used to detect the presence of H. pylori in the digestive tract.
Treatment usually involves taking drugs to reduce stomach acid and thereby help relieve symptoms and promote healing. (Stomach acid irritates the inflamed tissue in the stomach.) Avoidance of certain foods, beverages, or medicines may also be recommended.
If gastritis is caused by an infection, that problem may be treated as well. For example, the doctor might prescribe antibiotics to clear up H. pylori infection. Once the underlying problem disappears, the gastritis usually does too
(from The National Digestive Diseases Information Clearinghouse)
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